失眠症郁闷不舒状态临床用药规律探讨Discussion on the clinical medication rules of depressed and uncomfortable state of insomnia.pdfVIP

提 要 目的：探讨失眠症郁闷不舒状态治疗的临床用药规律，包括组方规律、常用药物 等，以期为失眠症郁闷不舒状态的治疗提供思路和方法。方法：系统回顾中医文献， 应用自制量表《失眠症郁闷不舒状态评定量表》，评定失眠症郁闷不舒状态的 142 例 病人。结果：统计中药的应用频率、药物种类及性味归经。统计出了使用频率居前 20 位的药物，各类药物所占频率，四气、五味、归经的使用频率。结论：系统总结 了失眠症郁闷不舒状态的临床用药及其组方规律，指出以调整气机升降、平复阴阳为 目的的用药方法，为失眠症郁闷不舒状态的治疗提供了新的思路。 关键词 失眠症；郁闷不舒状态；平复阴阳；气机升降 Study on the Clinical Medication Law of Insomnia with the State of Depression Specialty: Traditional Chinese Internal Medicine Author: Yang Xiaonan Tutor: Professor Peng Wei Abstract Objective: To explore the clinical medication law of insomnia with the state of depression， including prescription law ， commonly used drugs ， medication indications to provide ideas and methods for the treatment of insomnia with the state of depression. Methods: Literature of TCM was reviewed systematically including modern famous doctors’ experiences in treating insomnia and the medicines to treat insomnia in books on Chinese medicine. 142 cases of insomnia with the state of depression were assessed by our homemade scale “Scale for the State of Depression” combined with experiences of my tutor’s team. Results: The application frequency of Chinese medicine ， types ， characteristics and channel tropisms were counted to analyze the high frequency medicines. The top 20 medicines were counted by statistics including the frequency of the types， characteristics as well as channel tropisms were summarized by relative analysis. Conclusion: Clinical medication and prescription law in treating insomnia with the state of depression were summarized systematically. Furthermore ， the methods based on yinyang balance ， qi movement and symptoms were proposed to supply a new idea for the treatment of insomnia with the state of depression. Ke